Composite
40.2 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| state reg risk | 44.1 | 15.0 | 0.30 | 0.4000 | 17.64 | in index |
| chow risk | 71.3 | 20.5 | 0.15 | 0.2000 | 14.26 | in index |
| regulatory risk | 4.6 | 20.0 | 0.30 | 0.4000 | 1.84 | in index |
| ownership opacity | 0.6 | 15.0 | excluded |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| chow risk | 26.0 | B | v0.1-pecoshha | default · in composite | Home health change of ownership from PECOS owner association dates, the created-for-acquisition flag, owner cohort churn and investment or holding company layering. |
| chow risk | 15.0 | A | v0.1-pos | default · in composite | Change-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure. |
| ownership opacity | 15.0 | A | v0.1-cacdph | default · in composite | CDPH licensee chain size, parent corporation and domicile. |
| regulatory risk | 20.0 | A | v0.6-pos | default · in composite | R31. Extends v0.5-pos to hospices (provider type 12): same fields, same weights, no expression change. Hospice regulatory coverage before this was 148 of 6,535 scored hospices, all from the TX HCSSA state model. SNF/NF (type 20) deliberately excluded: the deficiency-based v0.3 already covers 14,315 of 14,720 and is richer evidence than a POS compliance flag. |
| state reg risk | 15.0 | A | v0.1-cacdph | default · in composite | CDPH licence tenure, expiry, branch role and failure to file the mandatory HCAI annual utilization report. |
| ownership opacity | 0.0 | A | v0.1-pecos | addressable | R21. Retained as a description of ownership structure. Deliberately NOT in any composite: inversely related to billing conduct. |
| regulatory risk | 20.0 | A | v0.5-pos | superseded | R20. Corrects the acptbl_poc_sw error in v0.4-pos; covers provider types 3 and 8. Superseded by v0.6-pos, which extends the population to hospices with no expression change. |
| Measure | Value | Stars | Period | Source |
|---|---|---|---|---|
| How often patients got better at bathing | - | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| How often patients got better at getting in and out of bed | - | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| How often patients got better at walking or moving around | - | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| How often patients' breathing improved | - | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| Discharge Function Score | - | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| How often physician-recommended actions to address medication issues were completely timely | - | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| DTC Risk-Standardized Rate | - | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| Percent of Residents Experiencing One or More Falls with Major Injury | - | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| PPH Risk-Standardized Rate | - | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| PPR Risk-Standardized Rate | - | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| Changes in skin integrity post-acute care: pressure ulcer/injury | - | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| How much Medicare spends on an episode of care at this agency, compared to Medicare spending across all agencies nationally | - | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| Quality of patient care star rating | - | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| How often the home health team began their patients' care in a timely manner | - | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| Percent of patients who reported that their home health team communicated well with them | Not Available | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Percent of patients who gave their home health agency a rating of 9 or 10 on a scale from 0 (lowest) to 10 (highest) | Not Available | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Percent of patients who reported that their home health team gave care in a professional way | Not Available | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Percent of patients who reported YES, they would definitely recommend the home health agency to friends and family | Not Available | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Survey response rate | Not Available | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| HHCAHPS Survey Summary Star Rating | Not Available | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Number of completed Surveys | Not Available | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Date | Action | Agency | Detail |
|---|---|---|---|
| 2024-06-21 | new_license | — | — |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| ALVARD APRESYAN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 51% | 2025-03-03 | current | pecos_ownership |
| ALVARD APRESYAN | CORPORATE DIRECTOR | 51% | 2022-04-08 | current | pecos_ownership |
| GAYANE VARDANYAN | W-2 MANAGING EMPLOYEE | 49% | 2025-03-03 | current | pecos_ownership |
| GOLD SPRINGS HHA | — | — | 2024-06-21 | current | ca_cdph_elms |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 06037 | acs median gross | 0 | $1,523 | 2024-12-31 | CENSUS_ACS5 |
| county 06037 | fmr | 0 | $1,863 | 2025-10-01 | HUD_USER_FMR |
| county 06037 | acs median gross | 1 | $1,724 | 2024-12-31 | CENSUS_ACS5 |
| county 06037 | fmr | 1 | $2,085 | 2025-10-01 | HUD_USER_FMR |
| county 06037 | acs median gross | 2 | $2,127 | 2024-12-31 | CENSUS_ACS5 |
| county 06037 | fmr | 2 | $2,601 | 2025-10-01 | HUD_USER_FMR |
| county 06037 | acs median gross | 3 | $2,484 | 2024-12-31 | CENSUS_ACS5 |
| county 06037 | fmr | 3 | $3,298 | 2025-10-01 | HUD_USER_FMR |
| county 06037 | acs median gross | 4 | $2,866 | 2024-12-31 | CENSUS_ACS5 |
| county 06037 | fmr | 4 | $3,672 | 2025-10-01 | HUD_USER_FMR |
| county 06037 | acs median gross | 5 | $2,767 | 2024-12-31 | CENSUS_ACS5 |
| county 06037 | acs median gross | $1,954 | 2024-12-31 | CENSUS_ACS5 | |
| county 06037 | acs recent mover gross | $2,358 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 91405 | acs median gross | 0 | $1,484 | 2024-12-31 | CENSUS_ACS5 |
| zcta 91405 | acs median gross | 1 | $1,541 | 2024-12-31 | CENSUS_ACS5 |
| zcta 91405 | acs median gross | 2 | $2,156 | 2024-12-31 | CENSUS_ACS5 |
| zcta 91405 | acs median gross | 3 | $2,795 | 2024-12-31 | CENSUS_ACS5 |
| zcta 91405 | acs median gross | 4 | $2,292 | 2024-12-31 | CENSUS_ACS5 |
| zcta 91405 | acs median gross | 5 | $3,224 | 2024-12-31 | CENSUS_ACS5 |
| zcta 91405 | acs median gross | $1,780 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 91405 | acs recent mover gross | $1,875 | 2024-12-31 | CENSUS_ACS5 | |
| zip 91405 | payment standard 110 | 0 | $2,288 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91405 | payment standard 90 | 0 | $1,872 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91405 | safmr | 0 | $2,080 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91405 | payment standard 110 | 1 | $2,563 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91405 | payment standard 90 | 1 | $2,097 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91405 | safmr | 1 | $2,330 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91405 | payment standard 110 | 2 | $3,190 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91405 | payment standard 90 | 2 | $2,610 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91405 | safmr | 2 | $2,900 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91405 | payment standard 110 | 3 | $4,048 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91405 | payment standard 90 | 3 | $3,312 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91405 | safmr | 3 | $3,680 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91405 | payment standard 110 | 4 | $4,499 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91405 | payment standard 90 | 4 | $3,681 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91405 | safmr | 4 | $4,090 | 2025-10-01 | HUD_USER_SAFMR |